ENROLLMENT CHECKLIST

Take a few minutes now to get the documents you need to apply for a health plan. You’ll need information about yourself and the members of your household. Bring this to your appointment with an enrollment counselor or agent.

What do I need to apply?

Basic information. Names and dates of birth for each person in your household.

Home mailing address. If someone in your household has a different home address, you’ll need that, too.

Social Security numbers. Enter each person’s Social Security number. If you leave this blank, you may be asked to provide more information at a later time.

Information about professional enrollment help. Did you get help from a broker, agent or enrollment counselor? If so, you’ll enter some information about this person on your application.

Immigration document information. Is anyone on your application a legal immigrant? If so, you’ll be asked to provide information from immigration documents.

How you file your taxes. If you file federal income taxes, you may be asked about your filing status and who you claim as a dependent on your taxes.

Income information. Enter employer and income information for everyone in your household.

Health insurance policy numbers. If anyone in your household currently has a health insurance plan, you’ll enter the policy numbers. You can find this on the health insurance card or documents from the plan.

Current Marketplace Plan ID. You’ll enter the Plan ID for anyone in your household who currently has Marketplace coverage.

For Native Americans, a Certificate of Indian Blood or Tribal Identification Card.

How long does it take to apply?

Filling out an application for coverage may take an hour. Or, it could take longer. You might start the application and come back later to finish. Get started now so you have enough time to finish.